The Government's MoneySmart website shows you how small amount loans work and suggests other options that may help you.

*This statement is an Australian Government requirement under the National Consumer Credit Protection Act 2009.

CLUB MONEY CREDIT APPLICATION

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STEP-1

Preferred loan amount

Pay Back Time

Purpose for loan

Purpose of loanChoose the option(s) most applicable to your circumstances. If you're going to use any of your Club Money loan to make repayments on a small amount credit contract (SACC) or credit card, then you must select 'Partly/fully repay a current short-term loan' or 'Partly/fully repay a current credit card'. If you're paying a bill, it can be useful to discuss a payment plan with your utility provider.

Other Selected. Please provide details:

PERSONAL INFORMATION

First Name

Middle

Surname

Email Address

Date of birth

Enter your date of birth !

Mobile (numbers only eg. 0400999888)

Gender (Please select) :

MaleFemale

Australian Resident (Please select) :

YesNo

Australian Photo ID

Driver's Licence Number

Licence State of Issue

Passport Number

Medicare Card Number

Expiry

If more than one person is listed on your card, this is the number next to your name.

Individual reference number

FINANCES

Are you Employed? (Please select) :

YesNo

Are you on Centrelink benefits? (Please select) :

YesNo

Which Centrelink benefits are you on? (Please select) :

Family Tax Benefits (FTB)PensionNewstartOther

Are you currently paying back monies advanced to you by Centrelink? (Please select) :

YesNo

Have you received or applied for an advance from Centrelink in the past 30 days that you have yet to start paying back? (Please select) :

YesNo

In the past 30 days, have you or anyone else on your behalf applied for or received any debt forgiveness, such as bankruptcy, debt agreement part IX or X? (Please select) :

YesNo

If approved, will you use any part of this loan to repay money owing on any other Small Amount Credit Contract (SACC) you have? (Please select) :

YesNo

Income

Take-home pay (Includes Centrelink payments.)

After tax income - i.e. amount you get in your bank account.

Current Loans

Do you have more than 2 current personal loans (not including mortgage or car loans) (Please select) :

YesNo

Warning: If your bank statement shows that you have more than two loans, your application will not be successful.

Do you have an existing car loan? (Please select) :

YesNo

Do you have an existing mortgage? (Please select) :

YesNo

How did you hear about us?

Promo/Referrer Code (if you have one)

I agree that all the information provided is truthful and accurate, and agree to allow my Medicare number and/or Driver’s licence details provided to be verified with the issuer. I have reviewed, understand and consent to the General Privacy Policy, incorporating the Hardship Privacy Policy and Credit Information Privacy Policy and Credit Privacy Consent and understand and agree to all terms and conditions of each policy. I agree that I have read and understand the Privacy Notice & Consent form and agree to be bound by its terms, and I also agree that I am giving my electronic signature and approval to proceed with this credit application.